| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,258 |
1,233 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
416 |
408 |
$16K |
| 92015 |
Determination of refractive state |
648 |
629 |
$7K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
132 |
121 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$330.00 |